Quotation from: Manual of Surgery

Written by: Alexander Miles and Alexis Thomson


#Clinical Features--Local Phenomena.#--The most generally accepted
classification of burns is that of Dupuytren, which is based upon the
depth of the lesion. Six degrees are thus, recognised: (1) hyperaemia or
erythema; (2) vesication; (3) partial destruction of the true skin; (4)
total destruction of the true skin; (5) charring of muscles; (6)
charring of bones.


It must be observed, however, that burns met with at the bedside always
illustrate more than one of these degrees, the deeper forms always being
associated with those less deep, and the clinical picture is made up of
the combined characters of all. A burn is classified in terms of its
most severe portion. It is also to be remarked that the extent and
severity of a burn usually prove to be greater than at first sight
appears.

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